Practitioner / Institution Registration

Registration was unsuccessful. Please correct the errors and try again.

Benefits of Registration:

  • Create a free profile to become visible to searches by potential clients
  • Update your details so that accurate information is always displayed
  • Get access to offers on marketing tools and services designed specifically for the medical field
  • Upgrade to an Enhanced Profile for free after being verified to make key information available to the public

Complete the Form:

Email:
(Will be verified)
  *
Enter Password:
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Confirm Password:
  *
Practice Telephone:
  *
Suite/Room:
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Building/Hospital:
  *
Street Address:
 
Capture your physical address and click on "Find on Map" to check the GPS location. To assist searching please ensure the location on the map is accurate. You can click on the marker and drag it to the location.
Listing Type:
  *

Certified Healthcare Practitioner

Name:
(eg. Dr A Demo)
  *
Practice Number:
  *
MP Number:
  *
Cell:
(for sms)
  *
Specialisation(s):
  *
  *
  *

Institution/Organisation

Institution Name:
(eg. Medi-Demo )
  *
Type(s):
  *
  *
  *
If you cannot find a suitable institution type and wish to request an addition please complete your registration and then submit your request using our feedback system.

Contact Person Name:
  *
Contact Person Position:
  *
Contact Person Cell:
(for sms)
  *

Other Practitioners


I have read and accepted the Terms and Conditions    *